SOUTHERNCARE, INC. (NPI# 1851330641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851330641 |
| Entity Type | Organization |
| Organization Name | SOUTHERNCARE, INC. |
| Other Organization Name | SOUTHERNCARE HATTIESBURG |
| Practice Address |
4700 Hardy St Suite Y Hattiesburg MS 39402-1300 |
| Mailing Address |
655 Brawley School Rd Suite 200 Mooresville NC 28117-9125 |
| Practice Telephone | 6015799493 |
| Practice Fax Number | 6015799495 |
| Mailing Telephone | 7046642878 |
| Mailing Fax Number | 7046641306 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2016-05-16 |
| Authorized Official Name | JESSICA KLEBERG (VP OF LEGAL AFFAIRS) |
| Authorized Official Telephone | 7046642876 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 062 | MS | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00770378 | 05 |
| Other Name | Type Code |
|---|---|
| SouthernCare Hattiesburg | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700399672 | Southerncare, Inc. | Hospice Care, Community Based | 203 Bulifants Blvd Ste B, Williamsburg, VA 23188-5742 | 2017-11-14 |
| 1255467676 | Southerncare, Inc. | Hospice Care, Community Based | 2900 100th St, Suite 103, Urbandale, IA 50322-3857 | 2007-02-27 |
| 1750417523 | Southerncare, Inc. | Hospice Care, Community Based | 9250 Highway 17 Byp, Bldg A, Murrells Inlet, SC 29576-6619 | 2007-02-26 |
| 1093741282 | Southerncare, Inc. | Hospice Care, Community Based | 1119 Park Ave Ste 7, Meadville, PA 16335-3107 | 2006-06-23 |
| 1639112410 | Southerncare, Inc. | Hospice Care, Community Based | 501 E Commerce St, Greenville, AL 36037-2313 | 2006-06-13 |
| 1033151550 | Southerncare, Inc. | Hospice Care, Community Based | 420 Neff Avenue, Suite 110, Harrisonburg, VA 22801-5435 | 2006-06-11 |
| 1902848443 | Southerncare, Inc. | Hospice Care, Community Based | 5330 Peters Creek Road Nw, Suite D-1, Roanoke, VA 24019-3853 | 2006-06-11 |
| 1154362861 | Southerncare, Inc. | Hospice Care, Community Based | 755 Lee St, Suite B, Alexander City, AL 35010-2638 | 2006-06-10 |
| 1205877073 | Southerncare, Inc. | Hospice Care, Community Based | 1240 Ne Windsor Dr, Lees Summit, MO 64086-5594 | 2006-06-10 |
| 1609817311 | Southerncare, Inc. | Hospice Care, Community Based | 12251c Highway 41 N, Evansville, IN 47725-7014 | 2006-06-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | SOUTHERNCARE, INC. | 3536 Vann Rd, Birmingham, AL 35235 |
| Street Address |
4700 HARDY ST SUITE Y |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39402-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093147514 | Julie Baham Lacour | Chiropractor | 4700 Hardy St, Suite M, Hattiesburg, MS 39402-1300 | 2013-08-07 |
| 1922253806 | Healthy Living Chiropractic | Chiropractor | 4700 Hardy St, Suite M, Hattiesburg, MS 39402-1300 | 2008-11-19 |
| 1750535712 | Brandon Matthew Williamson | Chiropractor | 4700 Hardy St, Suite M, Hattiesburg, MS 39402-1300 | 2008-11-04 |
| 1205910346 | Super Docs Inc | Pharmacy | 4700 Hardy St, Hattiesburg, MS 39402-1300 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572965 | Resilient Therapy and Solutions, Pllc | Clinic/Center | 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 | 2020-09-12 |
| 1932710225 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 | 2020-08-11 |
| 1467086736 | Elizabeth A. Perry | Technician | 1220 Marrie St, Hattiesburg, MS 39402 | 2020-02-26 |
| 1225678063 | Connor Gregory Galloway | Physical Therapist | 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 | 2020-01-09 |
| 1487291456 | Megan Marie Smith | Social Worker | 11 Woodstone Plaza, Hattiesburg, MS 39402 | 2019-12-09 |
| 1821656612 | Julie Covington Mcmahan | Dentist | 100 Madison Plaza, Hattiesburg, MS 39402 | 2019-06-05 |
| 1295392074 | Hattiesburg Clinic, Pa | Preventive Medicine | 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 | 2019-05-28 |
| 1760945356 | Rachandeep Chahal | Student in an Organized Health Care Education/Training Program | 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 | 2019-04-10 |
| 1386101137 | Courtney L Smith | Behavior Technician | 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 | 2019-02-28 |
| 1891269940 | Amanda Laine Mcarthur-macisaac | Registered Nurse | 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 | 2019-01-11 |
| Find all providers in zip 39402 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760886253 | Camellia Healthcare | Hospice Care, Community Based | 135 Mayfair Rd, Hattiesburg, MS 39402-1464 | 2014-10-14 |
| 1699108704 | Serenity Home Healthcare | Hospice Care, Community Based | 38 Shadow Ridge Dr, Hattiesburg, MS 39402-9768 | 2013-08-12 |
| 1518219773 | Homecare Hospice South, LLC | Hospice Care, Community Based | 100 Walnut Cir, Suite 110, Hattiesburg, MS 39401-3502 | 2012-10-11 |
| 1619238698 | Kare-in-home Hospice, LLC | Hospice Care, Community Based | 6222 U S Highway 98, Ste 200, Hattiesburg, MS 39402-8531 | 2012-06-06 |
| 1356625008 | St Joseph Hospice of Southern Mississippi, LLC | Hospice Care, Community Based | 32 Millbranch Rd Ste 30, Hattiesburg, MS 39402-1673 | 2011-09-29 |
| 1457647216 | Hospice Advantage, LLC. | Hospice Care, Community Based | 517 W. Scooba St., Units 20 & 30, Hattiesburg, MS 39401 | 2011-06-21 |
| 1871800094 | St Luke Missionary Hospice LLC | Hospice Care, Community Based | 1715 Hardy St, Suite 30, Hattiesburg, MS 39401-4980 | 2010-09-09 |
| 1871707612 | Pine View Area, LLC | Hospice Care, Community Based | 1305 Country Club Rd, Hattiesburg, MS 39401-7640 | 2007-05-10 |
| 1013002724 | Forrest County General Hospital | Hospice Care, Community Based | 1414 S 28th Ave, Hattiesburg, MS 39402-3107 | 2006-10-04 |
| 1336256700 | Forrest County General Hospital | Hospice Care, Community Based | 1414 South 28th Ave, Hattiesburg, MS 39402 | 2006-08-23 |
| Find all providers in HATTIESBURG | ||||
| City | HATTIESBURG |
| Zip Code | 39402 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.